pharm 5 test Flashcards
minimum urinay output
30ml
Fluoroquinolones are not recommended for patients under the age of
18
Ciprofloxacin is used to treat what?
Severe infections, UTIs, Repiratory infections, GI,
bone, joint, skin, soft tissue, prevent Anthrax to those exposed.
Sulfonamides are used to treat what types of common infections?
UTIs and otitis media
The patient taking a sulfonamide should notify their provider if they develop _
a rash or
pruritus (itching)`
o prevent crystalline formations in the urinary tract, the patient taking a sulfonamide is
encouraged to
drink plenty of water (2-3 liters)
Which medication that treats urinary tract infections makes the patient most at risk for
superinfection
ciprofloxacin (Cipro
An adverse effect with administration of intravenous administration of medications is
what?
Phlebitis, thrombophlebitis
a patient who is in antibiotic therapy experiences severe diarrhea that is bloody or
contains mucous, what should the patient do?
contact provider
How long will a patient with active tuberculosis be treated?
6-24months
What 3 things can result from TB treatment being long-term?
an increased risk for toxicity
b. poor patient adherence
c. development of resistant strains
When the nurse is administering medications for tuberculosis, will she likely give one
medication or a combination of medications? Why?
always give a combination of
medications unless being given for non-active TB because it decreases the risk of drug
resistance
Name two common medications for the treatment of TB
INH, rifampin
Why is it important for patients with TB to adhere to their treatment?
so that the bacteria
do not develop resistance and so the tuberculosis will be resolved
Because nausea and vomiting is such a common side effect of antimicrobials, what
information would the nurse want to give the patient?
do not discontinue treatment; if
nausea and vomiting persist contact the doctor; take with food to decrease the GI upset
INH, isoniazid is the cornerstone medication for prevention and treatment of
tuberculois
What are some of the serious adverse effects of INH?
hepatoxicty neurotoxicty
What can be administered with INH to help prevent the adverse effects? P
Pyridoxine
(Vitamin B6), 25-50 mg
What is the recommended administration instruction for INH to be most effective?
administer on an empty stomach with other effective antitubecular medications for the
prescribed length of time
Because of the risk of hepatotoxicity when a patient is receiving INH, you would
encourage the patient to avoid what types of medications or other substances.
Alcohol,
high tyramine foods and other medications that cause hepatotoxicity
What TB medications is used prophylactically for patient who have been exposed to
active tuberculosis? I
INH isoniazid
What is an unusual side effect of rifampin that would require the nurse to educate the
patient?
urine, feces, saliva, sputum, and tears may be tinged reddish-orange; inform
patient that soft contact may be permanently discolored.
When INH and rifampin are given together with other antitubercular agents, it increases
the risk of what serious adverse effect/toxicity?
hepatoxicity
What would be the signs and symptoms of hepatoxicity?
anorexia, nausea, vomiting,
jaundice, hepatomegaly(enlarged liver), splenomegaly(enlarged spleen), abnormal liver
function tests (elevated bilirubin, AST, ALT…
